Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
HC CT Maxillofacial W/Contrast
Mishawaka, IN
See all hospitals reporting CPT 70487 →Price type
Mishawaka Medical Center’s median price of $655 is 53% above the median hospital's median price ($427), higher than 62% of the 2,577 hospitals reporting CPT 70487. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 14 payers, 27 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | ||||
|---|---|---|---|---|
| 1 | Aetna medicaid facility · other · both | $96.05 | $96.05 | $96.05 – $96.05 |
| 2 | Blue Cross Blue Shield medicaid facility · other · both | $96.05 | $96.05 | $96.05 – $96.05 |
| 3 | Molina medicaid facility · other · both | $96.05 | $96.05 | $96.05 – $96.05 |
| 4 | UnitedHealthcare medicaid facility · other · both | $96.05 | $96.05 | $96.05 – $96.05 |
| 5 | Aetna aetna medicare advantage facility · other · both | $181.86 | $181.86 | $181.86 – $181.86 |
| 6 | Anthem anthem bcbs medicare advantage facility · other · both | $181.86 | $181.86 | $181.86 – $181.86 |
| 7 | Blue Cross Blue Shield anthem bcbs healthy medicare advantage facility · other · both | $181.86 | $181.86 | $181.86 – $181.86 |
| 8 | UnitedHealthcare united healthcare medicare advantage facility · other · both | $185.50 | $185.50 | $185.50 – $185.50 |
| 9 | Aetna aetna marketplace facility · other · both | $287.64 | $287.64 | $287.64 – $287.64 |
| 10 | Caresource caresource hmo marketplace facility · other · both | $287.64 | $287.64 | $287.64 – $287.64 |
| 11 | UnitedHealthcare united healthcare charter facility · case rate · both | $399.00 | $399.00 | $399.00 – $399.00 |
| 12 | Anthem anthem bcbs medicaid hhw hcc facility · fee schedule · both | $503.02 | $503.02 | $503.02 – $503.02 |
| 13 | Anthem anthem bcbs medicaid hip facility · fee schedule · both | $503.02 | $503.02 | $503.02 – $503.02 |
| 14 | Caresource caresource medicaid facility · fee schedule · both | $503.02 | $503.02 | $503.02 – $503.02 |
| 15 | UnitedHealthcare united healthcare medicaid facility · fee schedule · both | $503.02 | $503.02 | $503.02 – $503.02 |
| 16 | Anthem anthem bcbs facility · other · both | $655.19 | $655.19 | $655.19 – $655.19 |
| 17 | Blue Cross Blue Shield anthem bcbs facility · other · both | $655.19 | $655.19 | $655.19 – $655.19 |
| 18 | Carefirst anthem bcbs facility · other · both | $655.19 | $655.19 | $655.19 – $655.19 |
| 19 | Excellus anthem bcbs facility · other · both | $655.19 | $655.19 | $655.19 – $655.19 |
| 20 | Highmark anthem bcbs facility · other · both | $655.19 | $655.19 | $655.19 – $655.19 |
| 21 | Premera anthem bcbs facility · other · both | $655.19 | $655.19 | $655.19 – $655.19 |
| 22 | Regence anthem bcbs facility · other · both | $655.19 | $655.19 | $655.19 – $655.19 |
| 23 | Wellmark anthem bcbs facility · other · both | $655.19 | $655.19 | $655.19 – $655.19 |
| 24 | UnitedHealthcare united healthcare facility · case rate · both | $878.00 | $878.00 | $878.00 – $878.00 |
| 25 | Cigna sagamore facility · percent of total billed charges · bothfrom % of charges | $2,024 | $2,024 | $2,024 – $2,024 |
Last updated: Mar 31, 2026
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